Active NPI
David Clawson, PT
- Physical Therapist
- Sacramento, CA
National Provider Identifier
1891752432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT17484
- Practice address
- 1075 Fulton Ave
Suite a
Sacramento, CA 95825-4275 - Phone
- (916) 488-4000
- Fax
- (916) 488-4005
- NPI assigned
- Apr 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT17484 | CA | Primary |
Addresses
Primary practice location
1075 Fulton Ave
Suite a
Sacramento, CA 95825-4275
Mailing address
1075 Fulton Ave
Suite a
Sacramento, CA 95825-4275
Phone (916) 488-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031107000433 | CA | Practitioner - Physical Therapist in Private Practice | 6204749096 | Practice locations: Elk Grove, CA; Sacramento, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1075 Fulton Ave
Suite a
Sacramento, CA 95825-4206
Phone (916) 488-4000
6915 Elk Grove Blvd
Suite a
Elk Grove, CA 95758-5526
Phone (916) 684-3000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17484 | CA | MD | Acupuncturist |
| PT17484 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368144000000",
"number": "1891752432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1075 FULTON AVE",
"address_2": "SUITE A",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958254275",
"telephone_number": "916-488-4000",
"fax_number": "916-488-4005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1075 FULTON AVE",
"address_2": "SUITE A",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958254275",
"telephone_number": "916-488-4000",
"fax_number": "916-488-4005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLAWSON",
"first_name": "DAVID",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-27",
"last_updated": "2013-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT17484",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.